The Treatment Escalation Plan (TEP) was introduced into our trust in an attempt to improve patient involvement and experience of their treatment in hospital and to embrace and clarify a wider remit of treatment options than the Do Not Resuscitate (DNR) order currently offers. Our experience suggests that the patient and family are rarely engaged in DNR discussions. This is acutely relevant considering that the Mental Capacity Act (MCA) now obliges these discussions to take place. The TEP is a form (...) that the doctor completes, ideally with the competent patient or close relative, documenting what treatment options would be appropriate if that patient were to become acutely unwell. Ventilation of the lungs, cardiac resuscitation, renal replacement therapy, intravenous fluids and antibiotics are all discussed. The study evaluated patient and relative experiences with the TEP. 55 patients or their relatives were interviewed regarding their experience of the TEP and thoughts regarding the process. 96% of patients and relatives evaluated thought that the TEP was a good idea. Free text comments were all positive and only 34% of patients claimed to feel anxious when completing the form. Following this study, the TEP has been expanded hospital wide and into the community within our trust. Discussions are currently taking place in hospitals within our region to introduce the TEP form into other local trusts. (shrink)

Hans G. Ulrich's book, Wie Geschöpfe leben, engages eclectically but vigorously with moral and theological aspects of the Bible's teaching on ethics. This article employs three questions as an entrée to understanding his encounter with Scripture: it asks about his implicit biblical canon, his approach and presuppositions in hermeneutics, and finally about his major critical conversation partners. Supplementing Ulrich's strong sense of the Bible's importance for theological ethics, a strongly Lutheran reading of notions like `law' and `commandment' here goes hand (...) in hand with a concentration on Matthew, Romans and the Psalms; this in turn is matched by a characteristically unstated (but implicitly Protestant) Rule of Faith. There is a broad engagement with contemporary philosophers and theologians, but little attention is paid either to patristic and medieval voices or for that matter to biblical scholars, even those who have in recent years attempted to recover the connection between Scripture and Theology. (shrink)

This note will challenge G. A. Cohen's view of the interaction between legal systems and economic structures; such interaction raises the so‐called problem of legality, which Cohen sets out to solve in the eighth chapter of Karl Marx's Theory of History . In the course of this note, we shall interrogate the presumed rigor of Cohen's theory of base/superstructure relations, to which his understanding of law is central. His approach will not be simply destroyed, but will be resituated in a (...) network of problems that can highlight a certain fissure between his aspirations and his performance. (shrink)

This book focuses on the political thought of American statesmen. These statesmen have had consistent and comprehensive views of the good of the country and their actions have been informed by those views. The editors argue that political life in America has been punctuated by three great crises in its history-the crisis of the Founding, the crisis of the House Divided, and the crisis of the Great Depression. The Second World War was a crisis not just for America but for (...) the whole of Western Civiliation and, in the wake of that war, a new crisis arose which came to be called the "Cold War." Just when that gave the appearance of being resolved, the world reached a new juncture, a new crisis, which Samuel P. Huntington dubbed the "clash of civiliations." The statesmen having political responsibility in confronting the first three crises in America's history came as close to philosophic grasp of the problems of liberal democracy as one could demand from those embroiled in the active resolution of events. Their reflection of political philosophy in the full sense informed their actions. Since we cannot confidently explain the future, Aristotle warned us to call no man happy while he still lives. Thus the book, in its third edition, keeps to its settled pattern of dealing with settled matters. The preface to the third edition confronts the three later crises and, to the extent consistent with truth, attempts to relate them to the first three. Morton J. Frisch was professor emeritus of political science at Northern Illinois University. He was the author or editor of several books, including Selected Writings and Speeches of Alexander Hamilton; Alexander Hamilton and the Political Order; and Franklin D. Roosevelt: The Contribution of the New Deal to American Political Thought and Practice. Richard G. Stevens retired from National Defense University as professor of political science in 1994. Since then he has taught as an adjunct professor of government at American University. He is co-editor with Matthew J. Franck of Sober as a Judge: The Supreme Court and Republican Liberty, and the author of The American Constitution and Its Provenance; Reason and History in Judicial Judgment: Felix Frankfurter and Due Process; and Political Philosophy: An Introduction. (shrink)

I presented an earlier version of this paper to the Law and Philosophy Discussion Group in Los Angeles, whose members I would like to thank for their comments. In addition, I would also like to thank the following people for reading and providing written or verbal commentary on earlier drafts: Robert Mams, Rogers Albritton, G. A. Cohen, David Copp, Matthew Hanser, Craig Ihara, Brian Lee, Marc Lange, Derk Pereboom, Carol Voeller, and the Editors of Philosophy & Public Affairs. I (...) owe special thanks to Timothy Hall and Seana Shiffnn for their insightful and helpful comments. (shrink)

Some of the most interesting recent work in philosophy of language and metaphysics is focused on questions about propositions, the abstract, truth-bearing contents of sentences and beliefs. The aim of this guide is to give instructors and students a road map for some significant work on propositions since the mid-1990s. This work falls roughly into two areas: challenges to the existence of propositions and theories about the nature and structure of propositions. The former includes both a widely discussed puzzle about (...) propositional designators as well as direct and indirect arguments against the existence of propositions. The latter is dominated by what is currently the central debate about the metaphysics of propositions, i.e. whether they are structured, composite entities or unstructured ontological simples. This issue has eclipsed older debates about whether propositions can be identified with sets of possible worlds or other kinds of sentence intensions. Author Recommends 1. Soames, Scott. 'Direct Reference, Propositional Attitudes, and Semantic Content.' Philosophical Topics 15 (1987): 47–87. Reprinted in Propositions and Attitudes . Eds. N. Salmon and S. Soames. Oxford: Oxford University Press, 1988. 197–239. Essential groundwork for more recent work on propositions. Soames gives a careful and exacting presentation of the case against identifying propositions with sets of possible worlds or other truth-supporting circumstances. Also contains a detailed statement of the Russellian conception of propositions on which propositions are ordered sets of objects, properties and relations. 2. King, Jeffrey. 'Designating Propositions.' The Philosophical Review 111 (2002): 341–71. Sometimes substituting a definite description for a corresponding 'that'-clause can lead to bizarre changes in truth-conditions: compare 'Bill fears that Hillary will be president' with 'Bill fears the proposition that Hillary will be president'. This puzzle about propositional designators threatens the relational analysis of propositional attitude reports, the view that 'believes' expresses a relation to the proposition designated by its 'that'-clause, and thereby poses an indirect threat to the existence of propositions. King's solution posits an ambiguity in verbs like 'fear' that embed both 'that'-clauses and definite descriptions. 3. Jubien, Michael. 'Propositions and the Objects of Thought.' Philosophical Studies 104 (2001): 47–62. A direct attack on the existence of propositions. Jubien deploys an analogue of the problem that Paul Benacerraf raised for set-theoretical reductions of numbers against metaphysical reductions of propositions. Just as numbers can be reduced to sets in many different ways, any reduction of propositions brings with it equally good variants, thus making any such reduction arbitrary and unmotivated. The only alternative is to treat propositions as abstract metaphysical primitives. As Jubien argues, however, abstract primitive entities are incapable of doing what propositions must do, i.e. represent objects and states of affairs on their own, without the input of thinking subjects. The upshot is the propositions cannot be reduced and they cannot be primitive, and so they must not exist. 4. Hanks, Peter. 'How Wittgenstein Defeated Russell's Multiple Relation Theory of Judgment.' Synthese 154 (2007): 121–46. Scepticism about propositions has recently led some philosophers, Jubien included, to resuscitate Russell's multiple relation theory of judgment, the idea that judgment is a many-place relation to objects, properties and relations. This paper explains why Russell himself abandoned that theory, and why the theory is still refuted by an objection due to Wittgenstein. 5. Hofweber, Thomas. 'Inexpressible Properties and Propositions.' Oxford Studies in Metaphysics . 2 vols. Ed. D. Zimmerman. Oxford: Oxford University Press, 2006. 155–206. An indirect attack on the existence of propositions. Hofweber argues that sentences like 'Bill believes something that Hillary asserted' do not commit us to the existence of propositions. His view is that propositional quantification is an instance of what he calls 'internal' or 'inferential role' quantification, a kind of quantification that carries no ontological implications. 6. Schiffer, Stephen. The Things We Mean . Oxford: Oxford University Press, 2003. esp. chs 1–2. Schiffer defends his theory of pleonastic propositions, on which propositions are unstructured, have no parts, and are very finely grained. 7. Bealer, George. 'Propositions.' Mind 107 (1998): 1–32. Bealer defends his algebraic theory of propositions, which, like Schiffer's pleonastic account, treats propositions as unstructured metaphysical simples. 8. King, Jeffrey. The Nature of and Structure of Content . Oxford: Oxford University Press, 2007. The best developed current theory of the structure in structured propositions. King identifies propositions with certain kinds of facts in which objects, properties and relations are bound together by amalgams of syntactic and semantic relations. 9. Hanks, Peter. 'Recent Work on Propositions.' Philosophy Compass 4 (2009): 1–18. A survey of work on propositions since the mid-1990s that complements this teaching and learning guide. Contains responses to Jubien's and Hofweber's arguments against propositions and critical discussions of Schiffer's pleonastic propositions and King's theory of propositional structure. Online Resources 1. http://plato.stanford.edu/entries/propositions/ Propositions (Matthew McGrath) 2. http://plato.stanford.edu/entries/propositions-structured/ Structured Propositions (Jeffrey King) 3. http://plato.stanford.edu/entries/propositions-singular/ Singular Propositions (Greg Fitch) Sample Partial Syllabus The following partial syllabus can be used as a unit on recent work on propositions in graduate level courses in philosophy of language or metaphysics. Week 1: A Substitution Puzzle About Propositional Designators King, Jeffrey. 'Designating Propositions'. Moltmann, Friederike. 'Propositional Attitudes Without Propositions.' Synthese 135 (2003): 77–118. Week 2: The Benacerraf Problem and Propositional Representation Benacerraf, Paul. 'What Numbers Could Not Be.' Philosophical Review 74 (1965): 47–73. Jubien, Michael. 'Propositions and the Objects of Thought.' Week 3: Propositional Quantification Hofweber, Thomas. 'Inexpressible Properties and Propositions'. Hofweber, Thomas. 'A Puzzle about Ontology.' Noûs 39 (2005): 256–83. Week 4: Schiffer on Pleonastic Propositions Schiffer, Stephen. 'Language-Created Language-Independent Entities.' Philosophical Topics 24 (1996): 149–67. Schiffer, Stephen. The Things We Mean , chs 1–2. Week 5: King on Structured Propositions King, Jeffrey. 'Structured Propositions and Complex Predicates.' Noûs , 29 (1995): 516–35. King, Jeffrey. The Nature and Structure of Content , chs 1–3. Focus Questions 1. Why does identifying propositions with sentence intensions, e.g. sets of possible worlds, 'require the attitudes to have a particular sort of closure under logical consequence, which they clearly don't have' (Mark Richard)? 2. How does the difference between (a) and (b) pose a threat to the existence of propositions? (a) Bill fears that Hillary will be president. (b) Bill fears the proposition that Hillary will be president. 3. What is the Benacerraf problem for metaphysical reductions of propositions? 4. Why must a proposition represent 'on its own cuff' (Michael Jubien)? Why is this a problem for the view that propositions are primitive abstract entities? 5. What does it mean to say that propositions are structured ? Give two different accounts of what propositional structure might be. (shrink)

A central question for assessing the merits of Amartya Sen's capability approach as a potential answer to the “distribution of what”? question concerns the exact role and nature of freedom in that approach. Sen holds that a person's capability identifies that person's effective freedom to achieve valuable states of beings and doings, or functionings, and that freedom so understood, rather than achieved functionings themselves, is the primary evaluative space. Sen's emphasis on freedom has been criticised by G. A. Cohen, according (...) to whom the capability approach either uses too expansive a definition of freedom or rests on an implausibly active, indeed “athletic,” view of well-being. This paper defends the capability approach from this criticism. It argues that we can view the capability approach to be underpinned by an account of well-being which takes the endorsement of valuable functionings as constitutive of well-being, and by a particular view of the way in which endorsement relates to force and choice. Footnotes1 I would like to thank Paul Bou-Habib, Ian Carter, Matthew Kramer, Ingrid Robeyns, Peter Vallentyne, and two Economics and Philosophy referees for very helpful comments on earlier drafts of this paper. I am also grateful to the participants of the Edinburgh ECPR Workshop, the Hoover Chair Seminar in Louvain-La-Neuve, the King's College Moral Philosophy Group in Cambridge, the Nuffield Political Theory Workshop in Oxford, and the session on the Capability Approach at the Philadelphia APSA Annual Conference. (shrink)

Abstract Science education and moral education are mutually relevant. An education in science provides the factual information necessary to apply and revise ethical principles. In addition, science education aims to achieve certain propensities, e.g. impartiality, that are identical to some of the goals of moral education. Moral education, in turn, gives potential scientists the necessary principles and propensities to make certain decisions in the context of discovery, in the acceptance of hypotheses and in the conduct of inquiry. Science education and (...) moral education can be combined in various ways although some recent theories of moral education, e.g. the values clarification approach, and Matthew Lipman's philosophy for children approach, have neglected the potential of science education for moral education. (shrink)

: This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in (...) moral problem solving are discussed. (shrink)

In preparation for the treatment of the gravitational field at spatial infinity, this paper deals with the electromagnetic field at spatial infinity. The field equations on this three-dimensional(1+2) manifold can be obtained from an action principle, which in turn lends itself to a Hamiltonian formulation. Quantization is formally straightforward, but some thought is given to the physical interpretation of the results.

This paper treats the formulation of the gravitational field variables and the equations obeyed by them at spatial infinity. The variables consist of a three-dimensional tensor and a scalar, which satisfy separate field equations, which in turn can be obtained from two distinct Lagrangians. Aside from Lorentz rotations, the symmetry operations include an Abelian gauge group and an Abelian Lie group, leading to a number of conservation laws and to differential identities between the field equations.

The deflationary theory of truth for propositions aims to explain everything that needs to be explained about truth of propositions by reference to the propositional truth schema, _it is true that p, _if and only if p. Previous formulations of the theory, e.g., Horwich's _minimalism, have failed to provide adequate explanatory derivations of general facts about truth. Matthew McGrath's _weak deflationism attempts to correct this failure. It is shown that weak deflationism does not provide adequate derivations of general facts (...) about truth. (shrink)

: This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.

Foucault’s lectures from early 1979 on the German Ordo-liberalen are typically taken to comprise his most comprehensive account of why Germany is important for understanding neo-liberal governmentality more broadly. This paper argues, to the contrary, that the 1979 lectures actually obscure a potentially more complete account of German, neo-liberal governmentality Foucault had begun to sketch in 1977. To support this reading and to offer an explanation of why Foucault would have decided to alter his presentation of West German neo-liberalism, the (...) paper undertakes a genealogy of Foucault’s involvement with West German political issues in 1977 and 1978. The core claims that structure the argument are as follows: (1) Key aspects of the “security state” that Foucault began to work out in 1977, must have been at least partly modeled on West German “militant” or “battle-ready” democracy; (2) Yet, in his 1979 lectures, there is no longer any trace of these repressive, extralegal dimensions; (3) This shift was motivated to a significant extent by his 1977 disagreement with Deleuze, Guattari, and others over whether the West German state of the late 1970s could be considered “fascist.” This concern to contest the accusation of fascism is carried forward in his 1979 lectures in a critique of “state phobia.”. (shrink)

A substantial body of evidence suggests that autobiographical recollection and simulation of future happenings activate a shared neural network. Many of the neural regions implicated in this network are affected in patients with bipolar disorder , showing altered metabolic functioning and/or structural volume abnormalities. Studies of autobiographical recall in BD reveal overgeneralization, where autobiographical memory comprises primarily factual or repeated information as opposed to details specific in time and in place and definitive of re-experiencing. To date, no study has examined (...) whether these deficits extend to future event simulation. We examined the ability of patients with BD and controls to imagine positive, negative and neutral future events using a modified version of the Autobiographical Interview that allowed for separation of episodic and non-episodic details. Patients were selectively impaired in imagining future positive, negative, and neutral episodic details; simulation of non-episodic details was equivalent across groups. (shrink)

Bioethics has made remarkable progress as a scholarly and applied field. A mere fledgling in the 1960s, it is now firmly established in hospitals, medical schools, and government agencies and boasts a number of professional associations and a handsome collection of journals.